Organization
ARA-TIVERTON DIALYSIS LLC
Active
Other names
Dialysis Center of Tiverton
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANNE BRADY (CHIEF NURSING OFFICER)
(208) 371-7878
Entity
Organization
Contact information
Practice address
22 HURST LN, TIVERTON, RI 02878-2312
(401) 624-4403
(401) 624-4623
Mailing address
22 HURST LN, TIVERTON, RI 02878-2312
(401) 624-4403
(401) 624-4623
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316354
—
MA
05
—
TD50961
—
RI
Enumeration date
08/31/2006
Last updated
01/11/2023
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